Evidence map›Paper›PMID 37293397›Full record

ArticleFrontiers in psychiatry2023

The effectiveness of an additive informal social network intervention for forensic psychiatric outpatients: results of a randomized controlled trial.

Lise T A Swinkels, Thimo M van der Pol, Jos Twisk, Janna F Ter Harmsel, Jack J M Dekker, Arne Popma

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lise T A SwinkelsDepartment of Forensic Outpatient Care, Inforsa Forensic Mental Healthcare, Amsterdam, Netherlands.
Thimo M van der PolDepartment of Forensic Outpatient Care, Inforsa Forensic Mental Healthcare, Amsterdam, Netherlands.
Jos TwiskDepartment of Epidemiology and Data Science, Amsterdam UMC, VU University Amsterdam, Amsterdam, Netherlands.
Janna F Ter HarmselDepartment of Forensic Outpatient Care, Inforsa Forensic Mental Healthcare, Amsterdam, Netherlands.
Jack J M DekkerDepartment of Research and Quality of Care, Arkin Mental Health Institute, Amsterdam, Netherlands.
Arne PopmaDepartment of Child and Adolescent Psychiatry and Psychosocial Care, Amsterdam Public Health Research Institute, Amsterdam UMC, VU University Amsterdam, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: A supportive social network is associated with better mental health and wellbeing, and less criminal behavior. Therefore, this study examined the effectiveness of an additive informal social network intervention to treatment as usual (TAU) among forensic psychiatric outpatients. Materials and methods: An randomized controlled trial (RCT) was conducted in forensic psychiatric care, allocating eligible outpatients ( Results: Intention-to-treat analyses showed non-significant between-group effects on mental wellbeing on average over time and at 12 months. However, significant between-group effects were found on hospitalization duration and criminal behavior. Specifically, TAU participants were hospitalized 2.1 times more days within 12 months and 4.1 more days within 18 months than participants in the additive intervention. Furthermore, TAU participants reported 2.9 times more criminal behaviors on average over time. There were no significant effects on other outcomes. Exploratory analyses revealed that sex, comorbidity, and substance use disorders moderated effects. Conclusion: This is the first RCT examining the effectiveness of an additive informal social network intervention in forensic psychiatric outpatients. Although no improvements were found on mental wellbeing, the additive intervention was effective in reducing hospitalization and criminal behavior. The findings suggest that forensic outpatient treatment can be optimized by collaborating with informal care initiatives aimed at improving social networks within the community. Future research is warranted to determine which specific patients might benefit from the intervention and if effects can be improved by extending the intervention duration and enhancing patient compliance.

Indexed as

criminal recidivismforensic psychiatryinformal social network interventionmental wellbeingpsychiatric functioningrandomized controlled trialsocial supportvolunteer mentoring and befriending

Identifiers

PMID37293397
PMCPMC10244564

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.